Individual
DANIEL MARC KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
674 E MAIN ST, MIDDLETOWN, NY 10940-2644
(845) 343-1486
Mailing address
250 W 89TH ST # 3C, NEW YORK, NY 10024-1700
(516) 509-2127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06187901
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2020
Last updated
10/11/2021
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